Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
LIFEWORKS FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)P O BOX 50276
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NASHVILLE, TN372050276
A Employer identification number

62-1428468
B Telephone number (see instructions)

(615) 269-6663
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$3,788,622
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 1 1  
4 Dividends and interest from securities... 69,009 69,009  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 93,747
b Gross sales price for all assets on line 6a 2,276,181
7 Capital gain net income (from Part IV, line 2)... 93,747
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 162,757 162,757  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 81,250 20,313   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 1,117 278   0
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 29,650 7,413   0
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 7,212 2,531   0
19 Depreciation (attach schedule) and depletion... 448 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 39,119 27,433   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 158,796 57,968   0
25 Contributions, gifts, grants paid....... 148,501 148,501
26 Total expenses and disbursements. Add lines 24 and 25 307,297 57,968   148,501
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -144,540
b Net investment income (if negative, enter -0-) 104,789
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 11,351 14,925 14,925
2 Savings and temporary cash investments......... 54,768 50,536 50,536
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 2,924,064 Click to see attachment2,773,812 3,719,192
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet102,429
Less: accumulated depreciation (attach schedule) bullet101,384 401 Click to see attachment1,045 1,047
15 Other assets (describe bullet) Click to see attachment2,893 Click to see attachment2,922 Click to see attachment2,922
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,993,477 2,843,240 3,788,622
Liabilities 17 Accounts payable and accrued expenses.......... 2,357 1,375
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 2,357 1,375
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 2,991,120 2,841,865
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 2,991,120 2,841,865
30 Total liabilities and net assets/fund balances (see instructions). 2,993,477 2,843,240
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
2,991,120
2
Enter amount from Part I, line 27a .....................
2
-144,540
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
3
4
Add lines 1, 2, and 3 ..........................
4
2,846,583
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
4,718
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,841,865
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a 75 SHS BROADRIDGE FINANCIAL P 2019-01-01 2020-12-29
b 0.059 SHS VIATRIS INC P 2019-01-01 2020-12-15
c 200 SHS DELL TECHNOLOGIES INC CLASS C P 2019-01-01 2020-12-29
d 93 SHS VIATRIS INC P 2019-01-01 2020-11-23
e 50 SHS CSX CORP P 2009-05-12 2020-02-26
33 SHS CSX CORP P 2009-05-12 2020-03-18
100 SHS CSX CORP P 2009-05-12 2020-03-18
50 SHS CSX CORP P 2009-05-12 2020-10-22
50 SHS CSX CORP P 2009-08-11 2020-02-26
20 SHS APPLE COMPUTER P 2013-04-22 2020-08-25
20 SHS APPLE COMPUTER P 2013-04-22 2020-08-10
15 SHS APPLE COMPUTER P 2013-04-22 2020-07-21
5 SHS APPLE COMPUTER P 2013-04-22 2020-07-02
10 SHS APPLE COMPUTER P 2013-04-22 2020-06-25
10 SHS APPLE COMPUTER P 2013-04-22 2020-06-10
15 SHS APPLE COMPUTER P 2013-04-22 2020-05-12
10 SHS APPLE COMPUTER P 2013-04-22 2020-08-04
20 SHS APPLE COMPUTER P 2013-04-22 2020-02-06
200 SHS GLAXO SMITHKLINE SPD ADR P 2014-05-07 2020-10-02
200 SHS GLAXO SMITHKLINE SPD ADR P 2014-05-07 2020-10-12
100 SHS GLAXO SMITHKLINE SPD ADR P 2014-05-07 2020-10-16
250 SHS GLAXO SMITHKLINE SPD ADR P 2014-05-07 2020-10-22
250 SHS GLAXO SMITHKLINE SPD ADR P 2014-05-07 2020-10-06
125 SHS GLAXO SMITHKLINE SPD ADR P 2014-05-07 2020-12-29
290 SHS CARRIER GLOBAL CORP P 2015-01-08 2020-04-03
100 SHS CARRIER GLOBAL CORP P 2015-01-08 2020-04-06
75 SHS UNITED TECHNOLOGIES CORP P 2015-01-08 2019-12-31
195 SHS OTIS WORLDWIDE CORP P 2015-01-08 2020-06-08
50 SHS INTERNATIONAL BUSINESS MACHINES P 2015-02-04 2020-10-16
25 SHS INTERNATIONAL BUSINESS MACHINES P 2015-02-04 2020-10-21
50 SHS INTERNATIONAL BUSINESS MACHINES P 2015-02-04 2020-10-22
5 SHS QUALCOMM CORP P 2016-03-01 2020-11-13
35 SHS QUALCOMM CORP P 2016-03-01 2020-12-03
25 SHS MICROSOFT CORP P 2016-07-12 2020-04-24
20 SHS MICROSOFT CORP P 2016-07-12 2020-02-06
50 SHS MICROSOFT CORP P 2016-07-12 2020-04-23
60 SHS MICROSOFT CORP P 2016-07-12 2020-01-30
150 SHS PFIZER INC P 2016-08-08 2020-04-23
250 SHS PFIZER INC P 2016-08-08 2020-05-04
300 SHS PFIZER INC P 2016-08-08 2020-05-08
100 SHS PFIZER INC P 2016-08-08 2020-05-19
100 SHS BRISTOL MYERS SQUIBB P 2016-08-24 2020-01-15
200 SHS PFIZER INC P 2016-08-24 2020-04-14
50 SHS MARATHON PETROLEUM CORP P 2016-12-01 2020-10-28
50 SHS MARATHON PETROLEUM CORP P 2016-12-05 2020-09-23
100 SHS MARATHON PETROLEUM CORP P 2016-12-05 2020-09-25
50 SHS MARATHON PETROLEUM CORP P 2016-12-05 2020-10-28
50 SHS AMERICAN INTERNATIONAL GROUP P 2017-02-15 2020-03-12
100 SHS AMERICAN INTERNATIONAL GROUP P 2017-02-15 2020-03-03
50 SHS AMERICAN INTERNATIONAL GROUP P 2017-02-16 2020-03-18
200 SHS AMERICAN INTERNATIONAL GROUP P 2017-02-16 2020-03-12
100 SHS AMERICAN INTERNATIONAL GROUP P 2017-02-21 2020-02-28
200 SHS AMERICAN INTERNATIONAL GROUP P 2017-02-21 2019-12-31
100 SHS AMERICAN INTERNATIONAL GROUP P 2017-02-21 2020-02-28
100 SHS PFIZER INC P 2017-03-02 2020-07-31
50 SHS PFIZER INC P 2017-03-02 2020-11-09
70 SHS COCA COLA CO P 2017-04-27 2020-01-30
300 SHS AMERICAN INTERNATIONAL GROUP P 2017-06-09 2019-12-31
75 SHS NESTLE SA ADR P 2017-07-28 2020-01-30
50 SHS NESTLE SA ADR P 2017-07-28 2020-11-16
25 SHS NESTLE SA ADR P 2017-07-28 2020-10-21
50 SHS OTIS WORLDWIDE CORP P 2017-09-07 2020-06-08
100 SHS CARRIER GLOBAL CORP P 2017-09-07 2020-04-13
50 SHS OTIS WORLDWIDE CORP P 2017-09-13 2020-06-08
50 SHS CARRIER GLOBAL CORP P 2017-09-13 2020-04-06
50 SHS CARRIER GLOBAL CORP P 2017-09-13 2020-04-13
120 SHS WELLS FARGO & CO P 2018-02-05 2020-10-28
70 SHS WELLS FARGO & CO P 2018-02-05 2020-10-27
10 SHS WELLS FARGO & CO P 2018-02-05 2020-10-29
90 SHS WELLS FARGO & CO P 2018-02-09 2020-10-29
100 SHS AMERICAN INTERNATIONAL GROUP P 2018-02-15 2020-03-18
300 SHS AMERICAN INTERNATIONAL GROUP P 2018-02-15 2020-09-04
25 SHS WALMART INC P 2018-03-02 2020-11-16
25 SHS WALMART INC P 2018-03-02 2020-12-01
25 SHS WALMART INC P 2018-03-02 2020-11-12
30 SHS QUALCOMM CORP P 2018-03-13 2020-08-11
25 SHS QUALCOMM CORP P 2018-03-13 2020-07-30
20 SHS QUALCOMM CORP P 2018-03-13 2020-11-13
15 SHS CIGNA CORP NEW P 2018-03-27 2020-11-03
15 SHS CIGNA CORP NEW P 2018-03-27 2020-11-18
35 SHS CIGNA CORP NEW P 2018-03-27 2020-06-25
300 SHS SPDR UTILITIES SECTOR ETF P 2018-04-25 2020-08-26
100 SHS PFIZER INC P 2018-05-01 2020-05-19
200 SHS MARATHON PETROLEUM CORP P 2018-05-01 2020-08-25
200 SHS PFIZER INC P 2018-05-01 2020-06-17
133.333 SHS DUPONT DE NEMOURS INC P 2018-05-04 2020-01-14
100 SHS SPDR UTILITIES SECTOR ETF P 2018-05-04 2020-08-25
33.333 SHS DUPONT DE NEMOURS INC P 2018-05-31 2020-01-14
150 SHS INTEL CORP P 2018-07-03 2020-04-22
35 SHS STARBUCKS CORP P 2018-08-07 2020-11-30
50 SHS STARBUCKS CORP P 2018-08-07 2020-11-12
50 SHS STARBUCKS CORP P 2018-08-07 2020-11-09
7 SHS STARBUCKS CORP P 2018-08-07 2020-10-19
30 SHS FEDEX CORP P 2018-10-01 2020-07-01
0.333 SHS DUPONT DE NEMOURS INC P 2018-10-10 2020-01-14
33 SHS DUPONT DE NEMOURS INC P 2018-10-10 2020-01-14
50 SHS DANAHER CORP P 2018-10-31 2020-01-17
50 SHS DANAHER CORP P 2018-10-31 2020-03-23
150 SHS MARATHON PETROLEUM CORP P 2018-11-02 2020-09-23
100 SHS BAXTER INTL P 2018-11-06 2020-01-29
50 SHS BAXTER INTL P 2018-11-06 2020-01-13
5 SHS ALPHABET INC CL A P 2018-11-08 2020-02-03
5 SHS ALPHABET INC CL A P 2018-11-08 2020-02-12
50 SHS BAXTER INTL P 2018-11-09 2020-01-13
50 SHS SPDR UTILITIES SECTOR ETF P 2018-12-10 2020-02-24
10 SHS LOWE'S COMPANIES INC P 2018-12-14 2020-07-31
75 SHS LOWE'S COMPANIES INC P 2018-12-14 2020-01-14
70 SHS LOWE'S COMPANIES INC P 2018-12-14 2020-07-22
40 SHS LOWE'S COMPANIES INC P 2018-12-14 2020-07-02
5 SHS LOWE'S COMPANIES INC P 2018-12-14 2020-06-17
25 SHS APPLE COMPUTER P 2019-01-04 2020-01-15
25 SHS APPLE COMPUTER P 2019-01-04 2020-01-29
50 SHS APPLE COMPUTER P 2019-01-04 2020-01-09
25 SHS SPDR UTILITIES SECTOR ETF P 2019-01-14 2020-02-24
100 SHS SPDR UTILITIES SECTOR ETF P 2019-01-14 2020-05-22
75 SHS SPDR UTILITIES SECTOR ETF P 2019-01-14 2020-02-26
25 SHS L3HARRIS TECHNOLOGIES INC P 2019-01-24 2020-03-03
25 SHS CIGNA CORP NEW P 2019-02-27 2020-05-05
15 SHS CIGNA CORP NEW P 2019-02-27 2020-06-25
25 SHS CIGNA CORP NEW P 2019-02-27 2020-06-19
10 SHS CIGNA CORP NEW P 2019-02-27 2020-06-08
33.333 SHS DUPONT DE NEMOURS INC P 2019-04-01 2019-12-30
200 SHS PFIZER INC P 2019-04-01 2020-02-27
50 SHS FOX CORP CLASS B P 2019-04-04 2020-03-19
250 SHS FOX CORP CLASS B P 2019-04-04 2020-03-23
50.001 SHS DUPONT DE NEMOURS INC P 2019-04-04 2019-12-30
100 SHS MOLSON COORS BREWING CO CLASS B P 2019-04-12 2020-03-05
200 SHS FOX CORP CLASS B P 2019-04-16 2020-03-19
50 SHS AGILENT TECHNOLOGIES INC P 2019-04-23 2020-03-16
250 SHS ALTRIA GROUP INC P 2019-04-25 2020-03-05
50 SHS ALTRIA GROUP INC P 2019-04-25 2020-02-28
100 SHS MOLSON COORS BREWING CO CLASS B P 2019-05-01 2020-02-25
100 SHS ALTRIA GROUP INC P 2019-05-16 2020-02-28
75 SHS MOLSON COORS BREWING CO CLASS B P 2019-05-16 2020-03-02
25 SHS AGILENT TECHNOLOGIES INC P 2019-05-16 2020-05-29
50 SHS QUALCOMM CORP P 2019-05-16 2020-07-30
90 SHS AGILENT TECHNOLOGIES INC P 2019-05-16 2020-05-22
35 SHS AGILENT TECHNOLOGIES INC P 2019-05-16 2020-05-15
75 SHS QUALCOMM CORP P 2019-05-16 2020-05-12
100 SHS MOLSON COORS BREWING CO CLASS B P 2019-05-23 2020-02-25
40 SHS LOWE'S COMPANIES INC P 2019-05-24 2020-06-17
60 SHS LOWE'S COMPANIES INC P 2019-05-24 2020-06-02
25 SHS AGILENT TECHNOLOGIES INC P 2019-05-28 2020-05-29
40 SHS LOWE'S COMPANIES INC P 2019-05-30 2020-10-09
10 SHS LOWE'S COMPANIES INC P 2019-05-30 2020-10-15
5 SHS LOWE'S COMPANIES INC P 2019-05-30 2020-07-31
30 SHS LOWE'S COMPANIES INC P 2019-05-30 2020-12-29
50 SHS SONY CORP ADR P 2019-06-04 2020-12-23
50 SHS AGILENT TECHNOLOGIES INC P 2019-06-07 2020-10-15
25 SHS AGILENT TECHNOLOGIES INC P 2019-06-07 2020-03-16
50 SHS AGILENT TECHNOLOGIES INC P 2019-06-07 2020-11-24
5 SHS OTIS WORLDWIDE CORP P 2019-06-17 2020-06-08
10 SHS CARRIER GLOBAL CORP P 2019-06-17 2020-04-03
50 SHS UNITED TECHNOLOGIES CORP P 2019-06-17 2020-03-18
150 SHS DELL TECHNOLOGIES INC CLASS C P 2019-06-18 2020-08-31
25 SHS OTIS WORLDWIDE CORP P 2019-06-18 2020-06-08
50 SHS CARRIER GLOBAL CORP P 2019-06-18 2020-04-03
150 SHS DELL TECHNOLOGIES INC CLASS C P 2019-06-18 2020-09-04
75 SHS MOLSON COORS BREWING CO CLASS B P 2019-06-20 2020-03-05
25 SHS MOLSON COORS BREWING CO CLASS B P 2019-06-20 2020-03-05
75 SHS ALTRIA GROUP INC P 2019-06-21 2020-03-05
75 SHS ABBVIE INC P 2019-06-25 2020-11-16
50 SHS DELL TECHNOLOGIES INC CLASS C P 2019-06-27 2020-09-04
300 SHS CONAGRA INC P 2019-06-28 2020-06-24
50 SHS DELL TECHNOLOGIES INC CLASS C P 2019-07-01 2020-08-31
100 SHS CONAGRA INC P 2019-07-02 2020-06-24
100 SHS CONAGRA INC P 2019-07-02 2020-05-27
50 SHS CONAGRA INC P 2019-07-02 2020-04-01
150 SHS CONAGRA INC P 2019-07-02 2020-05-07
25 SHS MOLSON COORS BREWING CO CLASS B P 2019-07-03 2020-03-02
175 SHS MOLSON COORS BREWING CO CLASS B P 2019-07-03 2020-03-05
116.667 SHS DUPONT DE NEMOURS INC P 2019-07-05 2019-12-30
50 SHS CONAGRA INC P 2019-07-05 2020-03-09
50 SHS CONAGRA INC P 2019-07-05 2020-03-16
100 SHS CONAGRA INC P 2019-07-12 2020-03-18
100 SHS ABBVIE INC P 2019-07-12 2020-11-03
25 SHS ABBVIE INC P 2019-07-12 2020-11-16
50 SHS CONAGRA INC P 2019-07-12 2020-04-01
175 SHS ALTRIA GROUP INC P 2019-07-12 2020-03-05
250 SHS CONAGRA INC P 2019-07-12 2020-03-25
25 SHS BERKSHIRE HATHAWAY INC CL B P 2019-07-24 2020-08-20
15 SHS BERKSHIRE HATHAWAY INC CL B P 2019-07-24 2020-11-12
35 SHS BERKSHIRE HATHAWAY INC CL B P 2019-07-24 2019-12-31
5 SHS BERKSHIRE HATHAWAY INC CL B P 2019-07-24 2020-11-12
50 SHS HCA HEALTHCARE INC P 2019-08-01 2020-01-03
80 SHS WELLS FARGO & CO P 2019-08-01 2020-03-18
100 SHS ISHARES US REAL ESTATE ETF P 2019-08-05 2020-11-18
75 SHS HCA HEALTHCARE INC P 2019-08-15 2020-01-03
100 SHS DUPONT DE NEMOURS INC P 2019-08-21 2019-12-30
200 SHS CHEVRON CORP P 2019-08-22 2020-02-25
75 SHS HCA HEALTHCARE INC P 2019-08-27 2020-01-03
200 SHS CONAGRA INC P 2019-08-28 2020-03-16
50 SHS DANAHER CORP P 2019-08-28 2020-10-21
50 SHS HCA HEALTHCARE INC P 2019-09-03 2020-01-03
300 SHS MGM RESORTS INTERNATIONAL P 2019-09-05 2020-03-18
100 SHS CONAGRA INC P 2019-09-05 2020-03-09
100 SHS CONAGRA INC P 2019-09-05 2020-03-05
250 SHS MGM RESORTS INTERNATIONAL P 2019-09-05 2020-03-19
125 SHS MOLSON COORS BREWING CO CLASS B P 2019-09-05 2020-03-05
100 SHS MGM RESORTS INTERNATIONAL P 2019-09-05 2020-11-18
100 SHS DELL TECHNOLOGIES INC CLASS C P 2019-09-11 2020-10-07
50 SHS DANAHER CORP P 2019-09-11 2020-05-01
50 SHS DANAHER CORP P 2019-09-11 2020-04-16
150 SHS CONAGRA INC P 2019-09-13 2020-03-05
50 SHS CONAGRA INC P 2019-09-13 2020-02-28
35 SHS FEDEX CORP P 2019-09-18 2020-08-10
15 SHS FEDEX CORP P 2019-09-18 2020-07-01
10 SHS FEDEX CORP P 2019-09-19 2020-07-01
20 SHS FEDEX CORP P 2019-09-19 2020-07-01
25 SHS WALT DISNEY CO P 2019-09-23 2020-12-29
100 SHS CONAGRA INC P 2019-09-27 2020-02-28
200 SHS CONAGRA INC P 2019-09-27 2020-02-07
10 SHS FEDEX CORP P 2019-10-04 2020-12-01
25 SHS FEDEX CORP P 2019-10-04 2020-10-13
5 SHS FEDEX CORP P 2019-10-04 2020-10-15
43 SHS STARBUCKS CORP P 2019-10-11 2020-10-19
33 SHS STARBUCKS CORP P 2019-10-11 2020-03-18
8 SHS STARBUCKS CORP P 2019-10-11 2020-07-27
25 SHS STARBUCKS CORP P 2019-10-11 2020-07-27
24 SHS STARBUCKS CORP P 2019-10-11 2020-07-27
25 SHS L3HARRIS TECHNOLOGIES INC P 2019-10-18 2020-11-16
50 SHS SIMON PROPERTY GROUP INC P 2019-10-28 2020-02-03
100 SHS SIMON PROPERTY GROUP INC P 2019-10-28 2020-03-09
50 SHS SIMON PROPERTY GROUP INC P 2019-10-28 2020-03-02
50 SHS SIMON PROPERTY GROUP INC P 2019-10-28 2020-02-03
50 SHS SIMON PROPERTY GROUP INC P 2019-10-28 2020-03-02
50 SHS SONY CORP ADR P 2019-10-29 2020-10-28
49.999 SHS DUPONT DE NEMOURS INC P 2019-10-29 2019-12-30
25 SHS SONY CORP ADR P 2019-10-29 2020-10-29
25 SHS SONY CORP ADR P 2019-10-29 2020-11-02
100.001 SHS DUPONT DE NEMOURS INC P 2019-10-29 2020-01-14
50 SHS SONY CORP ADR P 2019-10-29 2020-11-03
100 SHS SIMON PROPERTY GROUP INC P 2019-10-30 2020-03-09
130 SHS MCDONALDS CORP P 2019-11-04 2020-02-25
100 SHS MCDONALDS CORP P 2019-11-04 2020-01-06
50 SHS DELL TECHNOLOGIES INC CLASS C P 2019-11-06 2020-12-29
100 SHS VIACOMCBS INC CL B P 2019-11-12 2020-03-27
20 SHS ARISTA NETWORKS INC P 2019-11-19 2020-01-24
100 SHS ARISTA NETWORKS INC P 2019-11-19 2020-03-04
30 SHS ARISTA NETWORKS INC P 2019-11-19 2020-03-30
100 SHS VIACOMCBS INC CL B P 2019-11-25 2020-03-27
150 SHS VIACOMCBS INC CL B P 2019-11-25 2020-03-23
150 SHS VIACOMCBS INC CL B P 2019-11-26 2020-03-23
100 SHS VIACOMCBS INC CL B P 2019-11-26 2020-03-10
50 SHS ARISTA NETWORKS INC P 2019-12-03 2020-03-30
200 SHS VIACOMCBS INC CL B P 2019-12-04 2020-03-05
15 SHS BOEING CO P 2019-12-11 2020-10-28
20 SHS BOEING CO P 2019-12-11 2020-10-28
50 SHS CISCO SYSTEMS P 2019-12-11 2020-10-29
150 SHS CISCO SYSTEMS P 2019-12-11 2020-10-23
25 SHS BOEING CO P 2019-12-11 2020-03-18
20 SHS BOEING CO P 2019-12-11 2020-03-10
200 SHS SINCLAIR BROADCAST GROUP CL A P 2019-12-19 2020-02-24
300 SHS SINCLAIR BROADCAST GROUP CL A P 2019-12-19 2020-02-25
100 SHS SINCLAIR BROADCAST GROUP CL A P 2019-12-20 2020-02-24
200 SHS SINCLAIR BROADCAST GROUP CL A P 2019-12-20 2020-02-20
100 SHS FIVE BELOW INC P 2020-01-13 2020-01-13
165 SHS GENERAL ELECTRIC CO P 2020-01-16 2020-08-20
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70 SHS GENERAL ELECTRIC CO P 2020-01-16 2020-08-20
165 SHS GENERAL ELECTRIC CO P 2020-01-16 2020-03-18
300 SHS BANK OF NEW YORK MELLON CORP P 2020-01-17 2020-02-21
100 SHS AT&T INC P 2020-01-29 2020-10-13
20 SHS ILLUMINA INC P 2020-01-30 2020-04-16
40 SHS PAYPAL HOLDINGS INC P 2020-01-30 2020-05-28
50 SHS PAYPAL HOLDINGS INC P 2020-01-30 2020-07-09
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25 SHS ILLUMINA INC P 2020-01-30 2020-04-17
55 SHS ILLUMINA INC P 2020-01-30 2020-04-20
50 SHS ILLUMINA INC P 2020-02-03 2020-04-20
88 SHS DXC TECHNOLOGY COMPANY P 2020-02-06 2020-02-27
15 SHS FEDEX CORP P 2020-02-06 2020-08-10
88 SHS DXC TECHNOLOGY COMPANY P 2020-02-06 2020-02-27
174 SHS DXC TECHNOLOGY COMPANY P 2020-02-06 2020-02-27
12 SHS DXC TECHNOLOGY COMPANY P 2020-02-07 2020-02-27
12 SHS DXC TECHNOLOGY COMPANY P 2020-02-07 2020-02-27
150 SHS ROYAL CARIBBEAN CRUISES LTD P 2020-02-07 2020-02-24
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25 SHS PAYPAL HOLDINGS INC P 2020-02-24 2020-05-07
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100 SHS DXC TECHNOLOGY COMPANY P 2020-02-25 2020-02-27
50 SHS PAYPAL HOLDINGS INC P 2020-02-25 2020-04-20
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35 SHS GENERAL ELECTRIC CO P 2020-02-26 2020-08-25
20 SHS ARISTA NETWORKS INC P 2020-02-28 2020-03-30
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25 SHS INTERNATIONAL BUSINESS MACHINES P 2020-03-02 2020-10-16
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100 SHS SPDR UTILITIES SECTOR ETF P 2020-03-18 2020-08-26
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150 SHS TJX COMPANIES P 2020-03-30 2020-05-26
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50 SHS TJX COMPANIES P 2020-04-08 2020-05-26
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25 SHS NEXTERA ENERGY INC P 2020-04-16 2020-05-28
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50 SHS NEXTERA ENERGY INC P 2020-04-16 2020-05-28
50 SHS SALESFORCE INC P 2020-04-21 2020-04-24
50 SHS TJX COMPANIES P 2020-04-22 2020-05-26
20 SHS NEXTERA ENERGY INC P 2020-04-23 2020-05-28
150 SHS DEERE & CO P 2020-04-24 2020-05-08
50 SHS HCA HEALTHCARE INC P 2020-04-29 2020-07-22
50 SHS TJX COMPANIES P 2020-04-29 2020-05-21
50 SHS DOLLAR TREE INC P 2020-04-29 2020-05-28
20 SHS NEXTERA ENERGY INC P 2020-05-04 2020-05-28
50 SHS ZOETIS INC P 2020-05-06 2020-07-09
50 SHS ZOETIS INC P 2020-05-06 2020-07-31
70 SHS ZOETIS INC P 2020-05-06 2020-07-31
50 SHS ZOETIS INC P 2020-05-07 2020-07-31
30 SHS NEXTERA ENERGY INC P 2020-05-07 2020-05-28
25 SHS DANAHER CORP P 2020-05-07 2020-07-21
20 SHS DANAHER CORP P 2020-05-07 2020-06-11
25 SHS DANAHER CORP P 2020-05-07 2020-07-31
20 SHS ZOETIS INC P 2020-05-07 2020-07-31
50 SHS APTIV PLC P 2020-05-08 2020-06-12
100 SHS APTIV PLC P 2020-05-08 2020-06-03
150 SHS APTIV PLC P 2020-05-08 2020-06-12
60 SHS ZOETIS INC P 2020-05-12 2020-07-31
125 SHS ALEXION PHARMACEUTICALS INC P 2020-05-13 2020-05-28
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100 SHS BECTON DICKINSON & CO P 2020-05-20 2020-07-07
25 SHS HCA HEALTHCARE INC P 2020-05-22 2020-11-10
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25 SHS HCA HEALTHCARE INC P 2020-05-22 2020-12-23
30 SHS HCA HEALTHCARE INC P 2020-05-22 2020-08-27
150 SHS DARDEN RESTAURANTS INC P 2020-05-26 2020-09-04
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25 SHS UBER TECHNOLOGIES INC P 2020-05-28 2020-12-02
75 SHS UBER TECHNOLOGIES INC P 2020-05-28 2020-11-09
50 SHS DARDEN RESTAURANTS INC P 2020-05-29 2020-09-04
100 SHS WESTERN DIGITAL CORP P 2020-06-01 2020-11-16
230 SHS WELLS FARGO & CO P 2020-06-04 2020-10-27
25 SHS BECTON DICKINSON & CO P 2020-06-05 2020-07-07
15 SHS BECTON DICKINSON & CO P 2020-06-08 2020-07-07
50 SHS APTIV PLC P 2020-06-09 2020-06-12
10 SHS BECTON DICKINSON & CO P 2020-06-10 2020-07-07
100 SHS UBER TECHNOLOGIES INC P 2020-06-10 2020-11-03
20 SHS BECTON DICKINSON & CO P 2020-06-15 2020-07-07
25 SHS SYSCO CORP P 2020-06-16 2020-11-09
100 SHS WELLS FARGO & CO P 2020-06-16 2020-10-27
50 SHS DARDEN RESTAURANTS INC P 2020-06-23 2020-09-04
200 SHS PHILIPS ELECTRS ADR P 2020-07-09 2020-10-27
125 SHS VMWARE, INC P 2020-07-15 2020-08-11
60 SHS UBER TECHNOLOGIES INC P 2020-07-17 2020-12-02
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30 SHS VMWARE, INC P 2020-07-28 2020-08-11
15 SHS VMWARE, INC P 2020-07-31 2020-08-11
100 SHS ECOLAB INC P 2020-08-03 2020-10-15
50 SHS MACQUARIE INFRASTRUCTURE CO P 2020-08-04 2020-09-04
200 SHS MACQUARIE INFRASTRUCTURE CO P 2020-08-04 2020-09-04
25 SHS ILLUMINA INC P 2020-08-07 2020-10-12
50 SHS LILLY ELI & CO P 2020-08-13 2020-12-14
50 SHS LILLY ELI & CO P 2020-08-13 2020-11-20
50 SHS LILLY ELI & CO P 2020-08-13 2020-12-10
50 SHS LILLY ELI & CO P 2020-08-13 2020-12-14
50 SHS LILLY ELI & CO P 2020-08-13 2020-12-09
50 SHS LILLY ELI & CO P 2020-08-13 2020-12-04
50 SHS LILLY ELI & CO P 2020-08-13 2020-11-10
100 SHS CISCO SYSTEMS P 2020-08-20 2020-10-29
50 SHS MACQUARIE INFRASTRUCTURE CO P 2020-08-24 2020-09-04
300 SHS HAIN CELESTIAL GROUP INC P 2020-08-25 2020-10-07
10 SHS KLA TENCOR CORP P 2020-08-26 2020-11-11
15 SHS KLA TENCOR CORP P 2020-08-26 2020-11-11
60 SHS KLA TENCOR CORP P 2020-08-26 2020-12-29
15 SHS KLA TENCOR CORP P 2020-08-26 2020-11-04
25 SHS KLA TENCOR CORP P 2020-08-26 2020-09-18
75 SHS PHILIPS ELECTRS ADR P 2020-08-31 2020-10-27
25 SHS PHILIPS ELECTRS ADR P 2020-09-03 2020-10-27
175 SHS DOVER CORP P 2020-09-08 2020-10-20
15 SHS KLA TENCOR CORP P 2020-09-09 2020-12-29
15 SHS L3HARRIS TECHNOLOGIES INC P 2020-09-10 2020-11-02
100 SHS COMCAST CORP NEW CL A P 2020-09-24 2020-12-01
75 SHS CROWDSTRIKE HLDGS INC CL A P 2020-10-01 2020-10-05
50 SHS CROWDSTRIKE HLDGS INC CL A P 2020-10-01 2020-10-01
50 SHS BROADRIDGE FINANCIAL SOLUTIONS INC P 2020-10-06 2020-12-29
50 SHS SNOWFLAKE INC CL A P 2020-10-06 2020-11-19
50 SHS SNOWFLAKE INC CL A P 2020-10-06 2020-10-22
75 SHS ANALOG DEVICES INC P 2020-10-16 2020-11-11
150 SHS ACCOLADE INC P 2020-10-21 2020-11-19
50 SHS ANALOG DEVICES INC P 2020-10-23 2020-11-11
50 SHS DOLLAR TREE INC P 2020-10-28 2020-12-03
30 SHS HCA HEALTHCARE INC P 2020-10-28 2020-11-09
50 SHS ANALOG DEVICES INC P 2020-10-28 2020-11-11
50 SHS ACCOLADE INC P 2020-10-29 2020-11-19
150 SHS ANAPLAN INC P 2020-10-29 2020-12-22
150 SHS ANAPLAN INC P 2020-10-29 2020-12-07
50 SHS ANAPLAN INC P 2020-11-03 2020-12-22
25 SHS ANALOG DEVICES INC P 2020-11-03 2020-11-11
50 SHS ACCOLADE INC P 2020-11-03 2020-11-19
25 SHS ELECTRONIC ARTS INC P 2020-11-06 2020-12-02
100 SHS ELECTRONIC ARTS INC P 2020-11-06 2020-12-02
25 SHS PAYPAL HOLDINGS INC P 2020-11-09 2020-12-01
25 SHS ELECTRONIC ARTS INC P 2020-11-09 2020-12-02
15 SHS PAYPAL HOLDINGS INC P 2020-11-09 2020-12-03
5 SHS PAYPAL HOLDINGS INC P 2020-11-09 2020-12-03
15 SHS SNOWFLAKE INC CL A P 2020-11-16 2020-11-19
50 SHS MICRON TECHNOLOGY P 2020-11-30 2020-12-04
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 11,404   10,495 909
b 1   1 0
c 14,577   10,980 3,597
d 1,556   1,684 -128
e 3,798   464 3,334
1,678   306 1,372
5,086   928 4,158
4,216   464 3,752
3,798   715 3,083
9,930   1,133 8,797
8,992   1,133 7,859
5,863   850 5,013
1,834   283 1,551
3,603   567 3,036
3,521   567 2,954
4,760   850 3,910
4,384   567 3,817
6,454   1,133 5,321
7,443   11,086 -3,643
7,498   11,086 -3,588
3,642   5,543 -1,901
8,765   13,857 -5,092
9,275   13,857 -4,582
4,617   6,902 -2,285
4,295   4,131 164
1,677   1,424 253
11,181   8,601 2,580
11,779   11,357 422
6,252   7,915 -1,663
2,894   3,957 -1,063
5,654   7,915 -2,261
721   248 473
5,273   1,733 3,540
4,291   1,334 2,957
3,651   1,067 2,584
8,615   2,668 5,947
10,273   3,201 7,072
5,502   5,235 267
9,394   8,725 669
11,166   10,471 695
3,742   3,490 252
6,667   5,963 704
7,176   7,072 104
1,361   2,415 -1,054
1,504   2,421 -917
2,778   4,841 -2,063
1,361   2,421 -1,060
1,368   3,113 -1,745
4,164   6,225 -2,061
980   3,089 -2,109
5,471   12,356 -6,885
4,269   6,497 -2,228
10,180   12,623 -2,443
4,269   6,453 -2,184
3,850   3,469 381
2,060   1,734 326
4,084   3,016 1,068
15,270   19,059 -3,789
8,346   6,321 2,025
5,762   4,214 1,548
2,943   2,107 836
3,020   2,793 227
1,423   1,366 57
3,020   2,795 225
839   684 155
711   684 27
2,556   7,073 -4,517
1,544   4,126 -2,582
210   589 -379
1,893   5,048 -3,155
1,960   5,950 -3,990
8,811   17,849 -9,038
3,819   2,201 1,618
3,822   2,201 1,621
3,691   2,201 1,490
3,297   1,747 1,550
2,645   1,456 1,189
2,885   1,165 1,720
2,753   2,534 219
3,188   2,534 654
6,383   5,913 470
17,742   15,171 2,571
3,742   3,487 255
7,220   14,862 -7,642
6,714   6,974 -260
8,036   15,056 -7,020
5,939   5,158 781
2,009   3,830 -1,821
9,011   7,592 1,419
3,410   1,825 1,585
4,695   2,607 2,088
4,790   2,607 2,183
616   365 251
4,732   6,874 -2,142
20   36 -16
1,989   3,529 -1,540
8,104   4,928 3,176
6,984   4,928 2,056
4,512   10,773 -6,261
9,062   6,323 2,739
4,493   3,162 1,331
7,404   5,464 1,940
7,582   5,464 2,118
4,493   3,162 1,331
3,502   2,796 706
1,482   945 537
9,022   7,089 1,933
10,314   6,616 3,698
5,468   3,781 1,687
677   473 204
7,856   3,671 4,185
8,169   3,671 4,498
15,374   7,341 8,033
1,751   1,305 446
5,584   5,218 366
5,104   3,914 1,190
5,065   3,534 1,531
4,753   4,521 232
2,735   2,713 22
4,792   4,521 271
2,126   1,808 318
2,076   3,196 -1,120
6,980   8,522 -1,542
1,034   1,792 -758
4,910   8,962 -4,052
3,115   5,035 -1,920
5,064   5,494 -430
4,138   7,426 -3,288
3,169   3,783 -614
10,733   12,875 -2,142
1,999   2,575 -576
5,219   5,999 -780
3,998   5,464 -1,466
3,727   4,425 -698
2,183   1,703 480
5,290   3,763 1,527
7,648   6,129 1,519
2,866   2,384 482
6,061   6,246 -185
5,219   5,938 -719
5,416   3,791 1,625
7,832   5,687 2,145
2,183   1,698 485
6,965   3,762 3,203
1,743   941 802
741   470 271
4,827   2,822 2,005
4,880   2,394 2,486
5,250   3,502 1,748
1,585   1,751 -166
5,648   3,502 2,146
302   319 -17
148   156 -8
4,240   6,287 -2,047
10,013   7,785 2,228
1,510   1,589 -79
741   777 -36
9,482   7,785 1,697
3,798   4,127 -329
1,266   1,376 -110
3,220   3,630 -410
7,420   5,171 2,249
3,161   2,553 608
10,119   7,731 2,388
3,338   2,599 739
3,373   2,668 705
3,288   2,668 620
1,496   1,334 162
5,004   4,002 1,002
1,242   1,425 -183
8,863   9,978 -1,115
7,268   8,583 -1,315
1,367   1,408 -41
1,279   1,408 -129
2,908   2,739 169
8,789   6,950 1,839
2,473   1,738 735
1,496   1,370 126
7,513   8,717 -1,204
6,745   6,848 -103
5,148   5,320 -172
3,373   3,192 181
7,886   7,448 438
1,124   1,037 87
7,376   6,521 855
2,205   3,881 -1,676
8,636   8,745 -109
11,064   9,269 1,795
6,229   6,771 -542
20,462   23,704 -3,242
11,064   9,115 1,949
5,117   5,609 -492
11,369   6,928 4,441
7,376   6,004 1,372
2,694   8,337 -5,643
2,734   2,872 -138
2,839   2,872 -33
1,692   6,948 -5,256
6,330   6,711 -381
2,765   3,121 -356
6,742   5,527 1,215
8,016   6,929 1,087
7,713   6,929 784
4,258   4,445 -187
1,289   1,482 -193
6,752   5,263 1,489
2,366   2,256 110
1,577   1,511 66
3,154   3,022 132
4,433   3,309 1,124
2,577   3,027 -450
6,421   6,054 367
2,948   1,424 1,524
6,844   3,560 3,284
1,385   712 673
3,786   3,743 43
1,828   2,872 -1,044
610   885 -275
1,906   2,804 -898
1,830   2,089 -259
4,943   4,906 37
6,664   7,658 -994
11,140   15,315 -4,175
6,056   7,658 -1,602
6,664   7,658 -994
6,056   8,346 -2,290
4,074   2,952 1,122
3,115   3,382 -267
2,078   1,476 602
2,137   1,476 661
6,027   6,764 -737
4,352   2,952 1,400
11,140   14,787 -3,647
27,893   24,762 3,131
20,259   19,048 1,211
3,644   2,733 911
1,283   3,806 -2,523
4,784   3,880 904
20,027   19,401 626
5,825   5,820 5
1,283   3,995 -2,712
1,633   5,992 -4,359
1,633   6,050 -4,417
1,930   4,034 -2,104
9,709   9,558 151
4,376   8,068 -3,692
2,248   5,116 -2,868
2,997   7,780 -4,783
1,783   2,216 -433
5,824   6,648 -824
2,499   8,527 -6,028
4,365   6,822 -2,457
5,520   6,461 -941
8,184   9,692 -1,508
2,760   3,309 -549
5,864   6,618 -754
10,600   9,690 910
1,025   2,793 -1,768
1,068   1,972 -904
435   837 -402
1,077   1,972 -895
13,494   14,033 -539
2,780   3,731 -951
6,060   6,041 19
5,930   4,568 1,362
9,065   5,710 3,355
3,548   2,855 693
7,714   7,551 163
17,785   16,613 1,172
16,168   14,771 1,397
2,082   3,053 -971
2,894   2,244 650
2,082   3,053 -971
4,117   6,036 -1,919
284   415 -131
284   415 -131
14,740   17,097 -2,357
615   899 -284
3,548   2,889 659
3,548   2,889 659
2,366   2,828 -462
5,626   5,785 -159
6,984   7,595 -611
226   403 -177
3,884   3,812 72
2,634   1,631 1,003
3,126   3,268 -142
3,345   4,644 -1,299
34,002   32,509 1,493
4,817   3,941 876
9,634   7,876 1,758
4,817   3,938 879
3,914   3,938 -24
5,914   5,442 472
26,205   19,803 6,402
3,277   3,171 106
3,795   3,680 115
8,243   7,093 1,150
18,752   17,122 1,630
9,810   7,526 2,284
2,748   2,481 267
2,704   2,481 223
6,248   5,933 315
6,248   5,933 315
12,496   11,865 631
7,590   7,596 -6
2,748   2,332 416
4,998   4,841 157
20,613   20,574 39
6,011   5,631 380
2,704   2,613 91
4,817   4,095 722
4,998   4,517 481
6,839   6,391 448
7,465   6,391 1,074
10,450   8,947 1,503
7,465   6,340 1,125
7,497   6,779 718
4,861   3,997 864
3,439   3,197 242
5,042   3,997 1,045
2,986   2,536 450
3,753   3,419 334
8,360   6,838 1,522
11,259   10,258 1,001
8,957   7,625 1,332
14,234   12,701 1,533
5,495   4,892 603
4,322   4,269 53
25,047   24,753 294
3,736   2,713 1,023
2,987   2,170 817
4,138   2,713 1,425
4,093   3,255 838
13,299   11,918 1,381
4,433   4,023 410
1,317   871 446
3,586   2,612 974
4,433   3,901 532
4,330   4,353 -23
5,072   6,849 -1,777
6,262   6,106 156
3,757   3,644 113
3,753   4,063 -310
2,505   2,389 116
3,584   3,539 45
5,009   4,603 406
1,900   1,420 480
2,205   2,912 -707
4,433   3,651 782
9,837   9,492 345
17,731   17,629 102
3,161   1,918 1,243
3,126   3,184 -58
4,255   4,222 33
2,128   2,062 66
20,169   18,504 1,665
1,353   1,517 -164
5,413   6,067 -654
8,734   8,725 9
8,092   6,933 1,159
7,283   7,526 -243
8,033   7,526 507
8,092   7,459 633
7,826   7,526 300
7,379   7,526 -147
7,423   7,526 -103
3,566   4,225 -659
1,353   1,423 -70
10,751   9,476 1,275
2,328   2,387 -59
3,492   3,147 345
15,267   12,587 2,680
3,271   3,580 -309
4,420   5,245 -825
3,689   3,593 96
1,230   1,165 65
20,399   19,236 1,163
3,817   2,634 1,183
2,546   2,733 -187
5,060   4,536 524
10,865   10,467 398
7,171   6,978 193
7,603   6,897 706
13,211   12,240 971
14,113   12,240 1,873
10,355   9,404 951
6,841   5,853 988
6,903   6,225 678
5,596   4,609 987
4,480   3,828 652
6,903   5,826 1,077
2,280   1,727 553
10,787   8,513 2,274
10,624   8,513 2,111
3,596   2,771 825
3,452   3,002 450
2,280   1,732 548
3,240   2,969 271
12,961   11,878 1,083
5,450   4,826 624
3,240   2,909 331
3,219   2,895 324
1,073   965 108
3,963   3,582 381
3,702   3,216 486
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a       909
b       0
c       3,597
d       -128
e       3,334
      1,372
      4,158
      3,752
      3,083
      8,797
      7,859
      5,013
      1,551
      3,036
      2,954
      3,910
      3,817
      5,321
      -3,643
      -3,588
      -1,901
      -5,092
      -4,582
      -2,285
      164
      253
      2,580
      422
      -1,663
      -1,063
      -2,261
      473
      3,540
      2,957
      2,584
      5,947
      7,072
      267
      669
      695
      252
      704
      104
      -1,054
      -917
      -2,063
      -1,060
      -1,745
      -2,061
      -2,109
      -6,885
      -2,228
      -2,443
      -2,184
      381
      326
      1,068
      -3,789
      2,025
      1,548
      836
      227
      57
      225
      155
      27
      -4,517
      -2,582
      -379
      -3,155
      -3,990
      -9,038
      1,618
      1,621
      1,490
      1,550
      1,189
      1,720
      219
      654
      470
      2,571
      255
      -7,642
      -260
      -7,020
      781
      -1,821
      1,419
      1,585
      2,088
      2,183
      251
      -2,142
      -16
      -1,540
      3,176
      2,056
      -6,261
      2,739
      1,331
      1,940
      2,118
      1,331
      706
      537
      1,933
      3,698
      1,687
      204
      4,185
      4,498
      8,033
      446
      366
      1,190
      1,531
      232
      22
      271
      318
      -1,120
      -1,542
      -758
      -4,052
      -1,920
      -430
      -3,288
      -614
      -2,142
      -576
      -780
      -1,466
      -698
      480
      1,527
      1,519
      482
      -185
      -719
      1,625
      2,145
      485
      3,203
      802
      271
      2,005
      2,486
      1,748
      -166
      2,146
      -17
      -8
      -2,047
      2,228
      -79
      -36
      1,697
      -329
      -110
      -410
      2,249
      608
      2,388
      739
      705
      620
      162
      1,002
      -183
      -1,115
      -1,315
      -41
      -129
      169
      1,839
      735
      126
      -1,204
      -103
      -172
      181
      438
      87
      855
      -1,676
      -109
      1,795
      -542
      -3,242
      1,949
      -492
      4,441
      1,372
      -5,643
      -138
      -33
      -5,256
      -381
      -356
      1,215
      1,087
      784
      -187
      -193
      1,489
      110
      66
      132
      1,124
      -450
      367
      1,524
      3,284
      673
      43
      -1,044
      -275
      -898
      -259
      37
      -994
      -4,175
      -1,602
      -994
      -2,290
      1,122
      -267
      602
      661
      -737
      1,400
      -3,647
      3,131
      1,211
      911
      -2,523
      904
      626
      5
      -2,712
      -4,359
      -4,417
      -2,104
      151
      -3,692
      -2,868
      -4,783
      -433
      -824
      -6,028
      -2,457
      -941
      -1,508
      -549
      -754
      910
      -1,768
      -904
      -402
      -895
      -539
      -951
      19
      1,362
      3,355
      693
      163
      1,172
      1,397
      -971
      650
      -971
      -1,919
      -131
      -131
      -2,357
      -284
      659
      659
      -462
      -159
      -611
      -177
      72
      1,003
      -142
      -1,299
      1,493
      876
      1,758
      879
      -24
      472
      6,402
      106
      115
      1,150
      1,630
      2,284
      267
      223
      315
      315
      631
      -6
      416
      157
      39
      380
      91
      722
      481
      448
      1,074
      1,503
      1,125
      718
      864
      242
      1,045
      450
      334
      1,522
      1,001
      1,332
      1,533
      603
      53
      294
      1,023
      817
      1,425
      838
      1,381
      410
      446
      974
      532
      -23
      -1,777
      156
      113
      -310
      116
      45
      406
      480
      -707
      782
      345
      102
      1,243
      -58
      33
      66
      1,665
      -164
      -654
      9
      1,159
      -243
      507
      633
      300
      -147
      -103
      -659
      -70
      1,275
      -59
      345
      2,680
      -309
      -825
      96
      65
      1,163
      1,183
      -187
      524
      398
      193
      706
      971
      1,873
      951
      988
      678
      987
      652
      1,077
      553
      2,274
      2,111
      825
      450
      548
      271
      1,083
      624
      331
      324
      108
      381
      486
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 93,747
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved
(b)
Reserved
(c)
Reserved
(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 1,457
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 1,457
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,457
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 1,457
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,457
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletTN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletBAKER SULLIVAN HOOVER PLC Telephone no.bullet (615) 255-6143

    Located atbullet35 PEABODY STREET SUITE 310NASHVILLETN ZIP+4bullet37210
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    GEORGE N BULLARD DIRECTOR
    10.00
    0 0 0
    PO BOX 50276
    NASHVILLE,TN37205
    PATRICIA BULLARD TRUSTEE
    25.00
    0 0 0
    PO BOX 50276
    NASHVILLE,TN37205
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 LIFEWORKS IS PRIMARILY A GRANT MAKING FOUNDATION ENABLING OTHER CHARITABLE ORGANIZATIONS TO FURTHER THEIR CHARITABLE ACTIVITIES. EXPENSES LISTED HERE ARE ACTUAL GRANTS MADE DURING YEAR. 0
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    3,185,794
    b
    Average of monthly cash balances.......................
    1b
    139,374
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,325,168
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    3,325,168
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    49,878
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,275,290
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    163,765
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    163,765
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    1,457
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,457
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    162,308
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    162,308
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    162,308
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    148,501
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    148,501
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    148,501
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2019
    (c)
    2019
    (d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 162,308
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 147,635
    b From 2016...... 30,806
    c From 2017...... 17,635
    d From 2018...... 24,243
    e From 2019......  
    fTotal of lines 3a through e........ 220,319
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 148,501
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2020 distributable amount..... 148,501
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 13,807 13,807
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 206,512
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...
    133,828
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    72,684
    10 Analysis of line 9:
    a Excess from 2016.... 30,806
    b Excess from 2017.... 17,635
    c Excess from 2018.... 24,243
    d Excess from 2019....  
    e Excess from 2020....  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    AMERICAN MALTESE ASSOCIATION
    2240 SOUTH 308TH ST
    FEDERAL WAY,WA98003
      PUBLIC FURTHER CHARITY PURPOSE 2,000
    HARPETH CONSERVANCY
    215 JAMESTOWN PARK ROAD STE 101
    BRENTWOOD,TN37027
      PUBLIC FURTHER CHARITY PURPOSE 1,000
    HEALING STONES FOUNDATION
    PO BOX 50276
    NASHVILLE,TN37205
      PUBLIC FURTHER CHARITY PURPOSE 144,000
    IROQUOIS STEEPLECHASE
    203 3RD AVE N
    FRANKLIN,TN37064
      PUBLIC FURTHER CHARITY PURPOSE 1,501
    Total .................................bullet 3a 148,501
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
        14 1  
    4 Dividends and interest from securities....     14 69,009  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 93,747  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 162,757 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    162,757
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    LIFEWORKS FOUNDATION
    EIN:
    62-1428468
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BAKER, SULLIVAN & HOOVER, PLC 19,200 4,800   0
    MARIE SWINFORD, CPA 10,450 2,613   0

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2020 DepreciationSchedule
    Name:
    LIFEWORKS FOUNDATION
    EIN:
    62-1428468
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)
    Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    EQUIPMENT 1992-12-01 2,975 2,975 200DB 5.000000000000 0 0    
    EQUIPMENT 1994-07-01 1,766 1,766 200DB 5.000000000000 0 0    
    EQUIPMENT 1995-07-01 723 723 200DB 5.000000000000 0 0    
    COMPUTER 1996-07-01 4,262 4,262 200DB 5.000000000000 0 0    
    SCANNER 1997-04-11 342 342 200DB 7.000000000000 0 0    
    EQUIPMENT 1998-11-04 4,558 4,558 200DB 5.000000000000 0 0    
    COMPUTER 2000-12-02 1,774 1,774 200DB 5.000000000000 0 0    
    FURNITURE 1992-07-01 1,252 1,252 200DB 5.000000000000 0 0    
    FURNITURE 1996-07-01 38,744 38,744 200DB 7.000000000000 0 0    
    DESKS, CRENDENZA 2000-03-18 563 563 200DB 7.000000000000 0 0    
    SHELVES 2000-03-18 345 345 200DB 7.000000000000 0 0    
    WINDOWS XP SOFTWARE 2002-10-30 543 380 200DB 3.000000000000 0 0    
    CSPG-ARTWORK 2003-02-14 320 224 200DB 7.000000000000 0 0    
    FORD EXCURSION 2003-04-28 21,000 14,700 200DB 5.000000000000 0 0    
    FORD EXCURSION-REGISTRATION 2003-05-08 109 55 200DB 5.000000000000 0 0    
    PRINTER 2003-09-18 426 213 200DB 7.000000000000 0 0    
    FILE CABINET 2003-09-18 404 202 200DB 7.000000000000 0 0    
    SAFE 2004-03-04 526 263 200DB 7.000000000000 0 0    
    COMPUTER MONITOR 2004-04-03 503 252 200DB 5.000000000000 0 0    
    EQUIPMENT 2004-04-15 175 87 200DB 7.000000000000 0 0    
    FIRE PROOF FILE DRAWER CABINET 2004-10-21 841 420 200DB 5.000000000000 0 0    
    COMPUTER 2004-11-05 1,725 863 200DB 5.000000000000 0 0    
    COMPUTER HARDWARE-DVDRW PLAYER 2006-04-19 238 238 200DB 5.000000000000 0 0    
    COMPUTER 2006-07-10 1,621 1,621 200DB 5.000000000000 0 0    
    PHONE 2006-10-18 164 164 200DB 7.000000000000 0 0    
    SHELVES 2006-11-09 261 261 200DB 7.000000000000 0 0    
    SHREDDER 2007-01-10 152 152 200DB 7.000000000000 0 0    
    SHREDDER 2007-02-28 164 164 200DB 7.000000000000 0 0    
    COMPUTER 2007-08-30 703 703 200DB 5.000000000000 0 0    
    HP LASERJET COLOR PRINTER 2007-10-16 552 552 200DB 5.000000000000 0 0    
    9-1 FILE CABINETS 2007-10-09 1,049 1,049 200DB 7.000000000000 0 0    
    PRINTER 2007-12-05 203 203 200DB 5.000000000000 0 0    
    COPIER 2009-02-09 441 220 200DB 5.000000000000 0 0    
    TABLES 2008-07-10 326 163 200DB 7.000000000000 0 0    
    CELL PHONE 2009-02-09 227 113 200DB 7.000000000000 0 0    
    FURNITURE 2009-08-27 4,370 2,185 200DB 7.000000000000 0 0    
    VIDEO CARD AND FAX 2009-10-22 248 124 200DB 5.000000000000 0 0    
    I PHONE 2010-07-08 347 173 200DB 5.000000000000 0 0    
    AIR CONDITIONER 2010-08-09 257 128 200DB 7.000000000000 0 0    
    CABLE MODEM-BASE STATION 2010-08-25 343 172 200DB 5.000000000000 0 0    
    NETWORK CARD, SURGE PROTECTOR ETHERNET CARD 2010-08-27 227 114 200DB 5.000000000000 0 0    
    SOFTWARE 2010-09-10 1,377   200DB 3.000000000000 0 0    
    PRINTER 2011-10-13 245   200DB 5.000000000000 0 0    
    HARD DRIVE 2012-04-04 175 88 200DB 5.000000000000 0 0    
    TELEPHONE 2012-09-10 435 218 200DB 5.000000000000 0 0    
    AC UNIT FOR OFFICE 2013-08-08 202 96 200DB 7.000000000000 5 0    
    APPLE COMPUTER 2015-11-17 2,455 2,208 200DB 5.000000000000 247 0    
    SAFES 2017-01-07 679 190 200DB 7.000000000000 40 0    
    FIRE SAFES 2020-02-10 1,092   200DB 7.000000000000 156 0    

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    LIFEWORKS FOUNDATION
    EIN:
    62-1428468
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABB LTD ADR 44,630 53,124
    ABBVIE INC 46,701 75,005
    AGILENT TECHNOLOGIES INC 30,840 53,321
    AIR PRODUCTS & CHEMICALS INC 53,530 53,278
    ALIBABA GROUP HOLDING LTD 36,717 32,582
    ALPHABET INC CL A 59,056 166,501
    APPLE COMPUTER 20,843 156,574
    AT&T INC 90,546 71,900
    BAXTER INTL 68,417 80,240
    BERKSHIRE HATHAWAY INC CL B 50,693 57,968
    BOEING CO 61,486 49,234
    BRISTOL MYERS SQUIBB 75,116 89,944
    BROADRIDGE FINANCIAL SOLUTIONS INC 24,139 26,810
    CATERPILLAR INC 30,643 36,404
    CIGNA CORP NEW 36,647 45,800
    CISCO SYSTEMS 51,309 62,650
    COCA COLA CO 52,974 67,453
    COMCAST CORP NEW CL A 46,165 62,880
    CSX CORP 22,299 41,291
    CVS HEALTH CORP 51,909 47,810
    DANAHER CORP 27,476 44,428
    DELL TECHNOLOGIES INC CLASS C 33,168 47,639
    DOLLAR TREE INC 22,843 27,010
    EMERSON ELEC CO 20,292 24,111
    FEDEX CORP 35,699 59,713
    FOX CORP CLASS B 65,178 54,843
    GENERAL ELECTRIC CO 29,518 16,740
    GENTEX CORP 26,445 33,930
    GLAXO SMITHKLINE SPD ADR 89,313 69,000
    HCA HEALTHCARE INC 36,688 57,561
    HILTON WORLDWIDE HOLDINGS INC 38,906 52,849
    ILLUMINA INC 51,549 57,350
    INTEL CORP 66,125 84,694
    INTERNATIONAL BUSINESS MACHINES 103,714 88,116
    INTL FLAVORS & FRAGRANCES INC 50,129 48,978
    ISHARES US REAL ESTATE ETF 54,341 59,955
    JP MORGAN CHASE & CO 15,156 19,061
    L3HARRIS TECHNOLOGIES INC 51,923 63,322
    LIBERTY SIRIUS GROUP C 28,171 34,808
    LOWE'S COMPANIES INC 41,974 64,204
    MACQUARIE INFRASTRUCTURE CO 18,376 18,775
    MARATHON PETROLEUM CORP 28,893 24,816
    MEDTRONIC PLC 63,609 81,998
    MGM RESORTS INTERNATIONAL 65,080 75,624
    MICRON TECHNOLOGY 31,167 37,590
    MICROSOFT CORP 32,451 116,771
    NATIONAL INSTRUMENTS CORP 19,095 21,970
    NESTLE SA ADR 46,356 64,871
    PAYPAL HOLDINGS INC 30,982 62,063
    PFIZER INC 25,978 27,608
    QUALCOMM CORP 33,235 85,310
    RAYTHEON TECHNOLOGIES CORP 43,715 67,935
    SALESFORCE INC 34,848 34,492
    SOFTBANK GROUP CORP ADR 45,748 78,047
    SONY CORP ADR 38,534 70,770
    STARBUCKS CORP 26,213 50,816
    SYSCO CORP 35,801 44,556
    UBER TECHNOLOGIES INC 33,445 56,100
    VERIZON COMMUNICATIONS CORP 75,606 85,188
    VIACOMCBS INC CL B 22,478 22,356
    WALMART INC 38,370 72,075
    WALT DISNEY CO 67,342 115,049
    WELLS FARGO & CO 45,143 26,558
    WESTERN DIGITAL CORP 28,079 38,773

    TY 2020 LandEtcSchedule2
    Name:
    LIFEWORKS FOUNDATION
    EIN:
    62-1428468
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    EQUIPMENT 2,975 2,975 0  
    EQUIPMENT 1,766 1,766 0  
    EQUIPMENT 723 723 0  
    COMPUTER 4,262 4,262 0  
    SCANNER 342 342 0  
    EQUIPMENT 4,558 4,558 0  
    COMPUTER 1,774 1,774 0  
    FURNITURE 1,252 1,252 0  
    FURNITURE 38,744 38,744 0  
    DESKS, CRENDENZA 563 563 0  
    SHELVES 345 345 0  
    WINDOWS XP SOFTWARE 543 543 0  
    CSPG-ARTWORK 320 320 0  
    FORD EXCURSION 21,000 21,000 0  
    FORD EXCURSION-REGISTRATION 109 109 0  
    PRINTER 426 426 0  
    FILE CABINET 404 404 0  
    SAFE 526 526 0  
    COMPUTER MONITOR 503 503 0  
    EQUIPMENT 175 175 0  
    FIRE PROOF FILE DRAWER CABINET 841 841 0  
    COMPUTER 1,725 1,725 0  
    COMPUTER HARDWARE-DVDRW PLAYER 238 238 0  
    COMPUTER 1,621 1,621 0  
    PHONE 164 164 0  
    SHELVES 261 261 0  
    SHREDDER 152 152 0  
    SHREDDER 164 164 0  
    COMPUTER 703 703 0  
    HP LASERJET COLOR PRINTER 552 552 0  
    9-1 FILE CABINETS 1,049 1,049 0  
    PRINTER 203 203 0  
    COPIER 441 441 0  
    TABLES 326 326 0  
    CELL PHONE 227 227 0  
    FURNITURE 4,370 4,370 0  
    VIDEO CARD AND FAX 248 248 0  
    I PHONE 347 347 0  
    AIR CONDITIONER 257 257 0  
    CABLE MODEM-BASE STATION 343 343 0  
    NETWORK CARD, SURGE PROTECTOR ETHERNET CARD 227 227 0  
    SOFTWARE 1,377 1,377 0  
    PRINTER 245 245 0  
    HARD DRIVE 175 175 0  
    TELEPHONE 435 435 0  
    AC UNIT FOR OFFICE 202 202 0  
    APPLE COMPUTER 2,455 2,455 0  
    SAFES 679 570 109  
    FIRE SAFES 1,092 156 936  


    TY 2020 OtherAssetsSchedule
    Name:
    LIFEWORKS FOUNDATION
    EIN:
    62-1428468
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DEPOSITS AND CREDITS 2,233 2,157 2,157
    DUE FROM G. BULLARD 199 199 199
    DUE FROM AFFILIATE 461 566 566


    TY 2020 OtherDecreasesSchedule
    Name:
    LIFEWORKS FOUNDATION
    EIN:
    62-1428468
    Description Amount
    COST ADJUSTMENT ON UNREALIZED GAINS/LOSSES 4,718


    TY 2020 OtherExpensesSchedule
    Name:
    LIFEWORKS FOUNDATION
    EIN:
    62-1428468
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    AUTOMOBILE EXPENSE 148 37   0
    ALARM 390 98   0
    BANK CHARGES 558 558   0
    INTEREST AND PENALTY 42 1   0
    DUES, SUBSCRIPTIONS, & MEMBERSHIPS 1,137 114   0
    INSURANCE EXPENSE 3,778 945   0
    INVESTMENT MGT FEE 23,217 23,217   0
    LEGAL FEES 1,400 350   0
    OFFICE SUPPLIES 1,105 276   0
    POSTAGE 563 141   0
    ROUNDING -2 0   0
    TELEPHONE/COMMUNICATIONS 6,783 1,696   0


    TY 2020 OtherIncreasesSchedule
    Name:
    LIFEWORKS FOUNDATION
    EIN:
    62-1428468
    Description Amount
    ROUNDING 3


    TY 2020 TaxesSchedule
    Name:
    LIFEWORKS FOUNDATION
    EIN:
    62-1428468
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 6,242 1,561   0
    FOREIGN TAXES 970 970   0